Improving access to mental health services for rural youth: Leveraging multidisciplinary teams to enhance implementation of a screening and referral protocol in rural Child Advocacy Centers

改善农村青年获得心理健康服务的机会：利用多学科团队加强农村儿童宣传中心筛查和转诊方案的实施

• 批准号: 10209580
• 负责人: Elizabeth Ann McGuier
• 金额: $ 17.04万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-04-01 至 2026-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10209580
• 关键词: Adoption; Advisory Committees; Advocate; Affect; Affective; Behavior; Behavioral; Behavioral Sciences; Businesses; California; Caregivers; Caring; Child; Child Abuse and Neglect; Child Advocacy; Child Mental Health; Child Welfare; Clinical; Clinical Sciences; Committee Members; Communication; Communities; Competence; Conflict (Psychology); Data; Development; Dissemination and Implementation; Education; Effectiveness; Eligibility Determination; Ensure; Evidence based practice; Evidence based treatment; Goals; Health Personnel; Hybrids; Impairment; Improve Access; Intervention; Interview; Law Enforcement; Mental Health; Mental Health Services; Mentors; Mentorship; Methods; Modeling; National Institute of Mental Health; Outcome; Partnership Practice; Pediatrics; Penetration; Pennsylvania; Performance; Play; Positioning Attribute; Primary Health Care; Process; Protocols documentation; Psyche structure; Psychiatry; Psychology; Public Health; Randomized; Replicating Effective Programs; Research; Research Personnel; Resources; Rice; Risk; Role; Rural; Rural Health Services; Schools; Screening procedure; Service setting; Speed; Standardization; Structure; Suicide; Surveys; System; Testing; Training; Translational Research; Universities; Utah; Vulnerable Populations; Washington; Youth; base; cognitive process; cohesion; community based research; effectiveness implementation study; evidence base; experience; health care settings; hybrid type 2 trial; implementation efforts; implementation facilitation; implementation outcomes; implementation process; implementation science; implementation strategy; improved; improved outcome; maltreatment; member; multidisciplinary; patient safety; peer; pilot trial; professor; response; routine practice; rural area; screening; skills; stress symptom; suicide rate; theories; tool; traumatic stress

Project Summary/Abstract Children in rural areas are at elevated risk for child maltreatment and have high rates of unmet mental health needs. Child Advocacy Centers (CACs) provide coordinated interagency responses to maltreatment allegations and are well-positioned to identify children with mental health needs and facilitate access to evidence-based treatments. This K23 study will examine how multidisciplinary team functioning in CACs is associated with implementation of a screening and referral protocol and whether improving team functioning can enhance implementation efforts. Understanding how multidisciplinary teams facilitate or hinder implementation and developing team-focused strategies can enhance efforts to implement evidence-based practices in rural CACs and other settings providing team-based care. This study will use a stakeholder- engaged approach and has three aims: 1) Use mixed methods to examine how multidisciplinary team interdependence and functioning are associated with implementation of a screening and referral protocol in CACs; 2) Develop team-focused strategies to facilitate implementation in rural CACs; and 3) Conduct a pilot randomized controlled effectiveness-implementation Type II hybrid trial in rural CACs. To ensure its successful execution and build the investigator’s capacity for independent research, the following training aims are proposed: 1) Develop competence in conducting stakeholder-engaged, community-based research with vulnerable populations, 2) Develop expertise in the application of team theories to implementation in multidisciplinary settings providing team-based care, and 3) Acquire skills in methods for implementation science. Training and research will be overseen by co-mentors Dr. David Kolko (Professor of Psychiatry, Psychology, Pediatrics, and Clinical and Translational Science, University of Pittsburgh) and Dr. Gregory Aarons (Professor of Psychiatry, University of California-San Diego). Additional mentorship will be provided by community partner Dr. Teresa Smith (Project Director, Northeast Regional Children’s Advocacy Center) and advisory committee members Dr. Laurie Weingart (Professor of Organizational Behavior and Theory, Tepper School of Business at Carnegie Mellon University), Dr. Eduardo Salas (Professor of Psychology, Rice University), Dr. Elizabeth Miller (Professor of Pediatrics, University of Pittsburgh), and Dr. John Fortney (Professor of Psychiatry and Behavioral Sciences, University of Washington).

项目摘要/摘要 粗糙地区的儿童患儿童虐待的风险较高，并且精神上的儿童率高 健康需求。儿童倡导中心（CACS）提供对虐待的协调互动反应 指控和良好的位置，以识别有心理健康需求的儿童，并便利 循证治疗。这项K23研究将研究CAC中的多学科团队的功能 与实施筛选和推荐协议以及是否改善团队功能有关 可以加强实施工作。了解多学科团队如何促进或阻碍 实施和制定以团队为中心的策略可以加强实施基于证据的努力 在粗糙的CAC和其他设置中的实践提供基于团队的护理。这项研究将使用利益相关者 - 订婚的方法并具有三个目的：1）使用混合方法来检查多学科团队如何 相互依存和功能与实施筛选和推荐协议的实现 CACS; 2）制定以团队为中心的策略来促进农村CAC的实施； 3）进行飞行员 农村CAC中的随机控制有效性II型混合试验。确保其成功 执行并建立调查员的独立研究能力，以下培训目的是 提议：1）发展有能力，可以通过 脆弱人群，2）在将团队理论应用于实施中的应用方面发展专业知识 多学科设置提供基于团队的护理，3）获得实施方法的技能 科学。培训和研究将由联合会员David Kolko博士（精神病学教授）监督 匹兹堡大学心理学，儿科以及临床和转化科学）和格雷戈里博士 亚伦（加利福尼亚大学迭戈分校精神病学教授）。额外的Mentalship将由 社区合作伙伴Teresa Smith博士（东北地区儿童倡导中心项目总监）和 咨询委员会成员Laurie Weingart博士（Tepper的组织行为与理论教授 卡内基·梅隆大学（Carnegie Mellon University）的商学院，爱德华多·萨拉斯（Eduardo Salas） 大学），伊丽莎白·米勒（Elizabeth Miller）博士（匹兹堡大学儿科教授）和约翰·福特尼（John Fortney）博士 （华盛顿大学精神病学和行为科学教授）。